Enhanced motor function by training in spinal cord contused rats following radiation therapy Journal Article


Authors: Ichiyama, R.; Potuzak, M.; Balak, M.; Kalderon, N.; Edgerton, V. R.
Article Title: Enhanced motor function by training in spinal cord contused rats following radiation therapy
Abstract: Weight-bearing stepping, without supraspinal re-connectivity, can be attained by treadmill training in an animal whose spinal cord has been completely transected at the lower thoracic level. Repair of damaged tissue and of supraspinal connectivity/circuitry following spinal cord injury in rat can be achieved by specific cell elimination with radiation therapy of the lesion site delivered within a critical time window, 2-3 weeks postinjury. Here we examined the effects of training in the repaired spinal cord following clinical radiation therapy. Studies were performed in a severe rat spinal cord contusion injury model, one similar to fracture/crush injuries in humans; the injury was at the lower thoracic level and the training was a combined hindlimb standing and stepping protocol. Radiotherapy, in a similar manner to that reported previously, resulted in a significant level of tissue repair/preservation at the lesion site. Training in the irradiated group, as determined by limb kinematics tests, resulted in functional improvements that were significant for standing and stepping capacity, and yielded a significant direct correlation between standing and stepping performance. In contrast, the training in the unirradiated group resulted in no apparent beneficial effects, and yielded an inverse correlation between standing and stepping performance, e.g., subject with good standing showed poor stepping capacity. Further, without any training, a differential functional change was observed in the irradiated group; standing capacity was significantly inhibited while stepping showed a slight trend of improvement compared with the unirradiated group. These data suggest that following repair by radiation therapy the spinal circuitries which control posture and locomotor were modified, and that the beneficial functional modulation of these circuitries is use dependent. Further, for restoring beneficial motor function following radiotherapy, training seems to be crucial. © 2009 Ichiyama et al.
Keywords: controlled study; nonhuman; pathophysiology; animal; animals; animal tissue; radiotherapy; animal experiment; animal model; radiation exposure; radiation response; animalia; wound healing; rat; therapy effect; rats; spinal cord motoneuron; rattus; rats, sprague-dawley; motor performance; motor activity; walking; body posture; standing; functional status; aerobic exercise; kinematics; limb movement; locomotion; nerve cell network; physical capacity; physical performance; spinal cord function; spinal cord injury; spinal cord lesion; thoracic spinal cord; tissue repair; treadmill exercise; weight bearing; x irradiation; sprague dawley rat; spinal cord injuries
Journal Title: PLoS ONE
Volume: 4
Issue: 8
ISSN: 1932-6203
Publisher: Public Library of Science  
Date Published: 2009-08-31
Start Page: e6862
Language: English
DOI: 10.1371/journal.pone.0006862
PUBMED: 19718437
PROVIDER: scopus
PMCID: PMC2729923
DOI/URL:
Notes: --- - "Cited By (since 1996): 1" - "Export Date: 30 November 2010" - "Art. No.: e6862" - "Source: Scopus"
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  1. Marissa Balak
    11 Balak